Menstrual Abnormalities and Abnormal Uterine Bleeding
Disorders of the Menstrual Cycle
Abnormal Uterine Bleeding
Between menarche and the menopause, almost every woman experiences one or more episodes…
Abnormal Premenopausal Bleeding
General Considerations
Normal menstrual bleeding lasts an average of 4 days (range, 2-7 days), with a…
Postmenopausal Vaginal Bleeding
General Considerations
Vaginal bleeding that occurs 6 months or more following cessation of menstrual function should…
Dysmenorrhea
Dysmenorrhea is defined as cramping pain in the lower abdomen occurring at the onset of menses. Dysmenorrhea is…
Ovarian Failure
Primary ovarian failure is associated with elevated plasma gonadotropin levels and can result from several causes. The most…
Abnormal Uterine Bleeding
Excessive duration (menorrhagia) or amount (menorrhagia, or hypermenorrhea) of menses or both; too-frequent menstruation (polymenorrhea); nonmenstrual or intermenstrual…
Dysfunctional Uterine Bleeding (Functional Uterine Bleeding)
Abnormal uterine bleeding not associated with tumor, inflammation, or pregnancy.
Dysfunctional uterine bleeding, the most common…
Primary Dysmenorrhea (Functional Dysmenorrhea)
Cyclic pain associated with ovulatory cycles without demonstrable lesions affecting reproductive structures.
Secondary Dysmenorrhea (Acquired Dysmenorrhea)
Pain with menses caused by demonstrable pathology.
Endometriosis is a common cause of dysmenorrhea; adenomyosis may…
Amenorrhea
Absence of menstruation--either because it never began or later ceased.
Amenorrhea is traditionally categorized as primary…
Premature Ovarian Failure (Premature Menopause)
Disorders in which women < 40 yr present with symptoms and signs due to estrogen deficiency and have…
Premenstrual Syndrome (Premenstrual Tension)
A condition characterized by nervousness, irritability, emotional instability, anxiety, depression, and possibly headaches, edema, and mastalgia, occurring during…
Menorrhagia
Description
Excessive amount or duration of menstrual flow, at more or less regular intervals




